HomeMy WebLinkAbout1418 Pacific Vista - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
co NT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
Owner
Owner's Address
Day Phone
Application is herei:)y ~ade for Pern:it to in
PERMITS wr:H WRONG ADD'lfSSES ARE fANCE~L~ ( .J n. _
InstallalionBy fI-N"f ELf, __~C--/.XI(,
Installers Address -
Installers Phone
Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PER" 100R FEE
CIRCUITS CIA 10 30 I CIRCUITS CIA 10 30
LIGHT J/t1 / SIGN
LIGHT . - A k ~ If-<Vv . 50 VOLTS
/' OR LESS
CONVENIENCE M//L r }/Itt . ':::--- ~S /(.VJ . MOTOR .-
CONVENIENCE l--' I_ I MOTOR ..
APPLIANCE " ;::./ . MOTOR
DISHWASHER . E'AE ALA~MS_ -
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATEA HEATER
LAUN;;>RY
DRYER . .. . REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE -
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC _.
BASIC FEE
ELECTRIC HEAT . - -
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A,C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-
SERVICE AW.G.
I SUB. TOtAL .. . .
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be'done by the installer and in conformance with the N.E.C. Electrical Code:
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: ". CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe~missjo,! is hereby given to do the'aboye described work,':accor~ing t6 the c'onditions h~reon and according to the approved pl~ns and
specif!cations pertaining thereto, subject to compliance with the'Ordinances the City of Port Angeles. 'I'"~ 1_\ "-
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Date Application made
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,19
WARNING
Notify Department of City Light by Street Address and Permit Number when ready f inspection. Work must not
be cover,ed or current turned on before inspectiorrand'O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
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Date Permit Issued
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WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
01 YMPIC Pl=llNTFI=l~, ING
REPORT OF INSPECTOR
OATEOFVISIT MADE BY REMARKS
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O.K. FOR COVERING
m~\ 11 J rJ;-- O.K. TO CONNECT SERVICE <LJdc ,,,.... h' ..., A'7,J. '/cc If
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-, 7 'T FINAL O.K. (JJ 0 r e 41.1.[0 yt,tl rl,.;~j
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